Ergen Öğrenciler İçin Web Tabanlı Ruh Sağlığı Okuryazarlığı Eğitim Programı: Randomize Kontrollü Bir Çalışma Protokolü

Öz

Amaç: Ergen öğrencilerde Web tabanlı ruh sağlığı okuryazarlığı eğitim girişiminin RSO bilgi düzeyi, yardım arama davranışı ve damgalama tutumu üzerindeki etkinliğini değerlendirecek randomize kontrollü bir deneme protokolü oluşturmak. Tasarım: Ön-test, son-test, izlemsel, kontrol gruplu randomize kontrollü deneysel olarak tasarlanan bir çalışmadır Yöntem: Bağımlı değişkenler ergen bilgi düzeyi, psikolojik yardım aramaya yönelik tutumlar ve yardım aramada kendini damgalama puan ortalamaları, bağımsız değişken web tabanlı eğitimdir. Katılımcılar randomize olarak kontrol veya müdahale grubuna atanacaktır. Sonuç ölçümleri ergen bilgi, tutum ve davranışını içerir. Öğrenciler dört hafta ve üç ay sonra tekrar test edilecektir. Altı modülün eğitim içeriği kısa animasyonlu ders videoları ve sesli sunumları içerecektir. Geliştirilen eğitim içeriği için alan uzmanlarından görüş alınacaktır. Katılacak 100 öğrenci bir ortaokul ve liseden alınacaktır. Deney grubu web tabanlı MHL eğitim müdahalesi alırken, kontrol grubu herhangi bir müdahale almayacaktır. Çalışmanın verileri Demografik Veri Toplama Formu, Çocuk ve Adölesan Ruh Sağlığı Okuryazarlığı Ölçeği (RSOÖ), Psikolojik Yardım Aramaya Yönelik Tutum Ölçeği-Kısa Form (PYTÖ-K) ve Psikolojik Yardım Arama/Alma Hakkında Kendini Damgalama Ölçeği (PYAKDÖ) kullanılarak toplanacaktır. Veriler ön test (t0), 4 haftalık son test (t2) ve 8 haftalık son test (t3) zaman noktalarında toplanacaktır. Veri analizlerinde tekrarlı ölçümler iki yönlü varyans analizi kullanılacaktır. Sonuç: Bu projenin özgün değeri, ruh sağlığı okuryazarlığı kavramının toplumumuzda daha önce hiç incelenmemiş olması ve tüm ergenlere, dolayısıyla ailelere ve topluma, okuryazarlık becerilerini geliştirecek denenmiş bir öğretim materyali hazırlanıp sunulması olacaktır.

Anahtar Kelimeler

• web tabanlı eğitim
• adölesan
• ruh sağlığı okuryazarlığı
• okul hemşiresi
• çalışma protokolü

Etik Beyan

Tüm okullardan etik onay alındı. İl Milli Eğitim Müdürlüğü, öğretmenler, öğrenciler ve ailelerin okulları bilgilendirildi (bilgilendirilmiş onam). 50 öğrenci girişim grubuna, 50 öğrenci kontrol grubuna katılmayı kabul etti. Müdahale girişim grubu öğrencilerine uygulandı.

Web-based Mental Health Literacy Education Program for Adolescent Students: A Randomized Control Study Protocol

Öz

Abstract Aim:To establish a randomized controlled trial protocol to evaluate the effectiveness of a Web-based mental health literacy training intervention on RSO knowledge, help-seeking behavior, and stigma attitudes in adolescent students. Design: It is a randomized controlled experimental study with pre-test, post-test, follow-up, control group. Methods: The dependent variables are adolescent knowledge level, attitudes towards seeking psychological help, and mean scores of self-stigma towards seeking help, and the independent variable is web-based education. Participants will be randomly assigned to the control or intervention group. Outcome measures include adolescent knowledge, attitudes, and behavior. Students will be retested after four weeks and three months. The educational content of the six modules will include short animated lesson videos and audio presentations. Opinions of field experts will be obtained for the developed educational content. 100 students will be recruited from a middle and high school. The experimental group will receive a web-based MHL educational intervention, while the control group will not receive any intervention. Data for the study will be collected using the Demographic Data Collection Form, Child and Adolescent Mental Health Literacy Scale (CAMHLS), Attitudes Towards Seeking Psychological Help Scale-Short Form (SPHS-S) and Self-Stigma About Seeking/Getting Psychological Help Scale (SSOSH). Data will be collected at pre-test (t0), 4-week post-test (t2), and 8-week post-test (t3) time points. Repeated measures two-way analysis of variance will be used in data analyses. Conclusion: The unique value of this project will be that the concept of mental health literacy has never been examined before in our society and that a tested teaching material will be prepared and presented to all adolescents, and therefore to families and society, to improve literacy skills.

Anahtar Kelimeler

• Web based education
• mental health literacy
• adolescent
• school nurse
• study protocol

Kaynakça

1. AAP Report, 2017 https://www.aap.org/en-us/Pages/Default.aspx
2. Andrews, G., Slade, T., & Issakidis, C. (2002). Deconstructing current comorbidity: data from the Australian National Survey of Mental Health and Well-Being. The British journal of psychiatry : the journal of mental science, 181, 306–314. https://doi.org/10.1192/bjp.181.4.306
3. Anjo, S.E.N. (2019). Applying what is known about adolescent development to ımprove school-based mental health literacy of depression ınterventions: Bridging Research to Practice. Adolesc Res. Rev. 4, 235–248.
4. Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., Mortier, P., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Aguilar-Gaxiola, S., Al-Hamzawi, A., Andrade, L. H., Benjet, C., Caldas-de-Almeida, J. M., Demyttenaere, K., Florescu, S., … Bruffaerts, R. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychological medicine, 46(14), 2955–2970. https://doi.org/10.1017/S0033291716001665
5. Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., Hasking, P., Murray, E., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Stein, D. J., Vilagut, G., Zaslavsky, A. M., Kessler, R. C., & WHO WMH-ICS Collaborators (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of abnormal psychology, 127(7), 623–638. https://doi.org/10.1037/abn0000362
6. Bale, J., Grové, C., & Costello, S. (2018). A narrative literature review of child-focused mental health literacy attributes and scales . Mental Health and Prevention, 12, 26–35. https://doi.org/10.1016/j.mhp.2018.09.003
7. Bjørnsen, H. N., Espnes, G. A., Eilertsen, M. B., Ringdal, R., & Moksnes, U. K. (2019). The Relationship Between Positive Mental Health Literacy and Mental Well-Being Among Adolescents: Implications for School Health Services. The Journal of school nursing : the official publication of the National Association of School Nurses, 35(2), 107–116. https://doi.org/10.1177/1059840517732125.
8. Bruffaerts, R., Mortier, P., Kiekens, G., Auerbach, R. P., Cuijpers, P., Demyttenaere, K., Green, J. G., Nock, M. K., & Kessler, R. C. (2018). Mental health problems in college freshmen: Prevalence and academic functioning. Journal of affective disorders, 225, 97–103. https://doi.org/10.1016/j.jad.2017.07.044

9. Bulut, H. (2023). Çok Değişkenli İstatistiksel Yöntemler (Multivariate Statistical Methods). Nobel Akademik Publishing, 2023;528
10. CDC Report, 2013 https://www.cdc.gov/childrensmentalhealth/features/kf-childrens-mental health-report.html
11. Gore, F. M., Bloem, P. J., Patton, G. C., Ferguson, J., Joseph, V., Coffey, C., Sawyer, S. M., & Mathers, C. D. (2011). Global burden of disease in young people aged 10-24 years: a systematic analysis. Lancet (London, England), 377(9783), 2093–2102. https://doi.org/10.1016/S0140-6736(11)60512-6
12. Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC psychiatry, 10, 113. https://doi.org/10.1186/1471-244X-10-113
13. Haugen, P. T., McCrillis, A. M., Smid, G. E., & Nijdam, M. J. (2017). Mental health stigma and barriers to mental health care for first responders: A systematic review and meta-analysis. Journal of psychiatric research, 94, 218–229. https://doi.org/10.1016/j.jpsychires.2017.08.001
14. Henderson, C., Noblett, J., Parke, H., Clement, S., Caffrey, A., Gale-Grant, O., Schulze, B., Druss, B., & Thornicroft, G. (2014). Mental health-related stigma in health care and mental health-care settings. The lancet. Psychiatry, 1(6), 467–482. https://doi.org/10.1016/S2215-0366(14)00023-6
15. Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). "Mental health literacy": a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. The Medical journal of Australia, 166(4), 182–186. https://doi.org/10.5694/j.1326-5377.1997.tb140071.x
16. Acun Kapıkıran, N. & Kapıkıran, Ş. (2013). Psikolojik Yardım Aramada Kendini Damgalama Ölçeği: Geçerlik ve Güvenirlik . XXXX Psychological Counseling and Guidance Journal, 4 (40) , 131-141. https://dergipark.org.tr/en/pub/tpdrd/issue/21460/229892
17. Kessler, R. C., Angermeyer, M., Anthony, J. C., DE Graaf, R., Demyttenaere, K., Gasquet, I., DE Girolamo, G., Gluzman, S., Gureje, O., Haro, J. M., Kawakami, N., Karam, A., Levinson, D., Medina Mora, M. E., Oakley Browne, M. A., Posada-Villa, J., Stein, D. J., Adley Tsang, C. H., Aguilar-Gaxiola, S., Alonso, J., … Ustün, T. B. (2007). Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World psychiatry : official journal of the World Psychiatric Association (WPA), 6(3), 168–176.
18. Kieling, C., Baker-Henningham, H., Belfer, M., Conti, G., Ertem, I., Omigbodun, O., Rohde, L. A., Srinath, S., Ulkuer, N., & Rahman, A. (2011). Child and adolescent mental health worldwide: evidence for action. Lancet (London, England), 378(9801), 1515–1525. https://doi.org/10.1016/S0140-6736(11)60827-1
19. Kutcher, S., Wei, Y., Costa, S., Gusmão, R., Skokauskas, N., & Sourander, A. (2016). Enhancing mental health literacy in young people. European child & adolescent psychiatry, 25(6), 567–569. https://doi.org/10.1007/s00787-016-0867-9
20. Lam, L.T. (2014). Mental health literacy and mental health status in adolescents: a population-based survey. Child Adolesc Psychiatry Ment Health, 8, 26.
21. Leighton S. (2010). Using a vignette-based questionnaire to explore adolescents' understanding of mental health issues. Clinical child psychology and psychiatry, 15(2), 231–250. https://doi.org/10.1177/1359104509340234
22. Mcluckie, A., Kutcher, S., Wei, Y., & Weaver, C. (2014). Sustained improvements in students' mental health literacy with use of a mental health curriculum in Canadian schools. BMC psychiatry, 14, 379. https://doi.org/10.1186/s12888-014-0379-4
23. Miles, R., Rabin, L., Krishnan, A., Grandoit, E., & Kloskowski, K. (2020). Mental health literacy in a diverse sample of undergraduate students: demographic, psychological, and academic correlates. BMC public health, 20(1), 1699. https://doi.org/10.1186/s12889-020-09696-0
24. Milin, R., Kutcher, S., Lewis, S. P., Walker, S., Wei, Y., Ferrill, N., & Armstrong, M. A. (2016). Impact of a Mental Health Curriculum on Knowledge and Stigma Among High School Students: A Randomized Controlled Trial. Journal of the American Academy of Child and Adolescent Psychiatry, 55(5), 383–391.e1. https://doi.org/10.1016/j.jaac.2016.02.018
25. Munawar, K., Mukhtar, F., Choudhry, F. R., & Ng, A. L. O. (2022). Mental health literacy: A systematic review of knowledge and beliefs about mental disorders in Malaysia. Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists, 14(1), e12475. https://doi.org/10.1111/appy.12475
26. Ojio, Y., Mori, R., Matsumoto, K., Nemoto, T., Sumiyoshi, T., Fujita, H., Morimoto, T., Nishizono-Maher, A., Fuji, C., & Mizuno, M. (2021). Innovative approach to adolescent mental health in Japan: School-based education about mental health literacy. Early intervention in psychiatry, 15(1), 174–182. https://doi.org/10.1111/eip.12959
27. Özkan Salkim, Ö., & Özbiçakçi, Ş. (2022). Validity and Reliability Study of XXXX Version of Child and Adolescent Mental Health Literacy Scale. Psychiatria Danubina, 34(Suppl 10), 156–163.
28. Pedrelli, P., Nyer, M., Yeung, A., Zulauf, C., & Wilens, T. (2015). College Students: Mental Health Problems and Treatment Considerations. Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 39(5), 503–511. https://doi.org/10.1007/s40596-014-0205-9
29. Perry, Y., Petrie, K., Buckley, H., Cavanagh, L., Clarke, D., Winslade, M., Hadzi-Pavlovic, D., Manicavasagar, V., & Christensen, H. (2014). Effects of a classroom-based educational resource on adolescent mental health literacy: a cluster randomized controlled trial. Journal of adolescence, 37(7), 1143–1151. https://doi.org/10.1016/j.adolescence.2014.08.001
30. Pinto-Foltz, M. D., Logsdon, M. C., & Myers, J. A. (2011). Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Social science & medicine (1982), 72(12), 2011–2019. https://doi.org/10.1016/j.socscimed.2011.04.006
31. Reavley, N. J., Yap, M. B., Wright, A., & Jorm, A. F. (2011). Actions taken by young people to deal with mental disorders: findings from an Australian national survey of youth. Early intervention in psychiatry, 5(4), 335–342. https://doi.org/10.1111/j.1751-7893.2011.00292.x
32. Rickwood, D. J., Deane, F. P., & Wilson, C. J. (2007). When and how do young people seek professional help for mental health problems?. The Medical journal of Australia, 187(S7), S35–S39. https://doi.org/10.5694/j.1326-5377.2007.tb01334.x
33. Rozbruch, E.V. (2018). Pılot Study Of The Chıld And Adolescent Mental Health Lıteracy Scale (Camhls): A Mıxed Methods Analysıs, 1–102
34. Sakellari, E., Sourander, A., Kalokerinou-Anagnostopoulou, A., & Leino-Kilpi, H. (2014). The impact of an educational mental health intervention on adolescents' perceptions of mental illness. Journal of psychiatric and mental health nursing, 21(7), 635–641. https://doi.org/10.1111/jpm.12151
35. Saporito, J. M., Ryan, C., & Teachman, B. A. (2011). Reducing stigma toward seeking mental health treatment among adolescents. Stigma research and action, 1(2), 9–21.
36. Sheffield, J.K., Fiorenza, E., Sofronoff, K. (2004). Adolescents willingness to seek psychological help: promoting and preventing factors. Journal of Youth and Adolescence, 33(6): 495–507.
37. Skre, I., Friborg, O., Breivik, C., Johnsen, L. I., Arnesen, Y., & Wang, C. E. (2013). A school intervention for mental health literacy in adolescents: effects of a non-randomized cluster controlled trial. BMC public health, 13, 873. https://doi.org/10.1186/1471-2458-13-873
38. Spiker, D. A., & Hammer, J. H. (2019). Mental health literacy as theory: current challenges and future directions. Journal of mental health (Abingdon, England), 28(3), 238–242. https://doi.org/10.1080/09638237.2018.1437613 Şencan H. (2005) Sosyal Ve Davranışsal Ölçümlerde Güvenilirlik Ve Geçerlilik. (Reliability and validity in social and behavioral measures) Seçkin Publishing, Ankara.
39. TÜİK 2020, Yaş Grubu ve Cinsiyete Göre Seçilmiş Ölüm Nedenlerinin Dağılımı (Distribution of Selected Causes of Death by Age Group and Gender) https://data.tuik.gov.tr/Kategori/GetKategori?p=Saglik-ve-Sosyal-Koruma-101
40. Türküm, A. S. (2004). Developing a scale of attitudes toward seeking psychological help: Validity and reliability analyses. International Journal for the Advancement of Counselling, 26(3), 321–329. https://doi.org/10.1023/B:ADCO.0000035534.04757.aa
41. Vogel, D.L., Heath, P.J., Engel, K.E., Brenner, R.E., Strass, H.A., Al-Darmaki, F.R., Armstrong, P.I., Galbraith, N., Galbraith, V., Baptista, M.N., Gonçalves, M., Liao, H.Y., Mackenzie, C., Mak, W.W.S., Rubin, M., Topkaya, N., Wang, Y.F., Zlati, A. (2017). Cross-Cultural Validation of the Perceptions of Stigmatization by Others for Seeking Help (PSOSH) Scale. Stigma and Health. Advance online publication, 2
42. Watson, A. C., Otey, E., Westbrook, A. L., Gardner, A. L., Lamb, T. A., Corrigan, P. W., & Fenton, W. S. (2004). Changing middle schoolers' attitudes about mental illness through education. Schizophrenia bulletin, 30(3), 563–572. https://doi.org/10.1093/oxfordjournals.schbul.a007100
43. Wei, Y., Hayden, J. A., Kutcher, S., Zygmunt, A., & McGrath, P. (2013). The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early intervention in psychiatry, 7(2), 109–121. https://doi.org/10.1111/eip.12010
44. World Health Organization, 2022, World mental health report: transforming mental health for all. Yang, J., Lopez Cervera, R., Tye, S. J., Ekker, S. C., & Pierret, C. (2018). Adolescent mental health education InSciEd Out: a case study of an alternative middle school population. Journal of translational medicine, 16(1), 84. https://doi.org/10.1186/s12967-018-1459-x.